CT Angiography of Peripheral Arterial Disease （CT血管造影术的外周动脉疾病）.pdfVIP

Review Articles CT Angiography of Peripheral Arterial Disease Dominik Fleischmann, MD, Richard L. Hallett, MD, and Geoffrey D. Rubin, MD Lower-extremity computed tomographic (CT) angiography (ie, peripheral CT angiography) is increasingly used to evaluate patients with peripheral arterial disease. It is therefore increasingly important for all vascular specialists to become familiar with the strengths and limitations of this new technique. The aims of this review are to explain the principles of scanning and injection technique for a wide range of CT scanners, to explain and illustrate the properties of current image postprocessing tools for effective visualization and treatment planning, and to provide an overview of current clinical applications of peripheral CT angiography. J Vasc Interv Radiol 2006; 17:3–26 Abbreviations: CPR curved planar reformation, DSA digital subtraction angiography, MIP maximum intensity projection, MPR multiplanar reforma- tion, 3D three-dimensional, VR volume reconstruction ALTHOUGH computed tomographic it is increasingly important to be famil- ning protocol programmed into the (CT) imaging of lower-extremity arter- iar with this latest vascular imaging scanner, peripheral CT angiography is a ies has been attempted with single– technique, to know its strengths and very robust technique for elective and detector row scanners (1–5), it was not limitations, and, most importantly, to emergency situations. When patients before the introduction of multiple– learn how to read and interpret the are mobile, the study can easily be per- detector row CT that adequate resolu- large CT angiographic data sets and formed in 10–15 minutes of room time. tion imaging of the entire inflow and their reformatted images